The human spinal column is a kind of channel that protects the substance of the spinal cord from injury, which is involved in the innervation of the whole body. Therefore, any long-lasting degenerative processes in the intervertebral discs, which play the role of a kind of shock absorbers, lead to the development of pathologies of the nervous tissue. One of the most common species is sciatica - pinching of the sciatic nerve.
A distinctive feature is that pain at a certain point ceases to be localized in the lumbar or sacral region and spreads over the outer and rear surface of the thigh, lower leg. In some cases, the gluteus maximus and foot are captured. This is due to the fact that the pinching of the nerve bundle called the ponytail can occur either in a certain segment, or completely. It depends on the factor that provoked the lability of the vertebral joints.
The sciatic nerve belongs to large clusters of nervous tissue. It has a great length. Out of the second lumbar vertebra, then it is joined by the roots of the sacral. The final branching of this structural formation occurs in the region of the calcaneus. It helps to ensure the motor activity of the muscles of the lower extremities, the sensitivity of the skin.
When the sciatic nerve is pinched, a person experiences sudden acute bouts of pain syndrome, which are characterized as lumbago and can be felt in the form of electric shocks.
Causes of sciatic nerve traction
This pathology is not a separate independent disease. It refers to a symptomatic complex that can develop only against the background of another disease. Most often, sciatica occurs when:
- the development of a herniated disc in the lumbar and sacral region,
- narrowing of the spinal canal in the spinal column due to the destruction of tissues and the inflammatory process (more common in elderly people suffering from deformation of cartilage and articular tissue),
- lumbosacral osteochondrosis with pronounced phenomena of deformation of the intervertebral discs that can shift, flatten, bulge out or form additional growths in the form of salt deposits,
- fronteus (displacement relative to each other) of the vertebrae of the lower part of the spinal column,
- squeezing of the pear-shaped muscle,
- arthritis and osteoarthritis of the sacroiliac joint.
It is practically impossible to establish the cause on your own, since an x-ray examination is required to exclude tumors, abscesses, necrosis and fibrotic changes. Also, do not forget that this condition can be caused by deep vein thrombosis, Reiter's syndrome, Lyme disease and some other conditions that are dangerous to human life. Therefore, to postpone the visit to the doctor is not worth it.
Why does a sciatic nerve become pinched during pregnancy?
Recently, cases of pinching of the sciatic nerve during pregnancy have become frequent. The basis of this pathology is the desire of the modern woman, despite her “interesting” position, to maintain her usual lifestyle and style of dress. This is especially true of shoes. It is necessary to listen to the recommendations of the doctor and give up for the period of carrying the child from high heels. You fit shoes with flat soles, or with a heel no higher than 2 cm.
The fact is that during the development of the fetus occurs the physiological transformation of the spinal column. If at this time still distort the position of the foot by changing the angle of inclination of its arch, then a rather dangerous position of the bones in all joints is formed. Due to their shift, conditions are created for pinching the sciatic nerve.
Related causes include impaired blood flow in the pelvic cavity with the development of a tendency to thrombosis, dislocation of the abdominal cavity organs, increasing physical stress on the lumbosacral spine. In the second half of pregnancy, structural changes begin to occur in the woman’s body in order to prepare the birth canal. The pelvic bones diverge to the sides, all joints become more flexible and stretchable.
During this period, in order to avoid pinching the sciatic nerve during pregnancy, it is necessary to use a special bandage to support the abdomen, flat shoes, venotonics to stimulate blood flow, and sparing food intake.
Symptoms of sciatic nerve pinching
The clinical picture of sciatica is quite characteristic. As a rule, pain appears only on one side. Left or right leg may suffer. Symmetry of pain syndrome is extremely rare and it is inherent in other diseases.
Symptoms of pinching the sciatic nerve include:
- sharp attacks of lumbago, which can extend from the lumbar region to the knee joint and below,
- feeling of slight tingling in the periods between the lumbago
- you can feel the burning of the skin on the back and outer surface of the thigh (sometimes it is quite a strong feeling, as with a superficial skin burn),
- there is numbness, the degree of which depends directly on the extent of the sciatic nerve lesion,
- all sensations increased in a sitting position.
Treatment methods for sciatic nerve trapping
At the basis of the treatment of pinching the sciatic nerve is the therapy of the disease against which this symptomatic complex has developed. In our clinic, only targeted treatment is carried out, during which the specialist individually selects those methods of influence that will help to cope not only with pain, but also with its cause. This ensures a long lasting result.
The methods of fractional manual therapy can be used, in the chord of which we release the pinched nerve roots. This method gives quick results for sciatica, which is provoked by hernias and vertebral mixing.
When osteochondrosis is prescribed acupuncture of biologically active points, massage and physiotherapy. If necessary, pharmacupuncture can be applied, as well as methods of osteopathic effect are used to quickly eliminate the pain syndrome.
You can learn more about the schemes of your individual treatment during the preliminary consultation, because the specialist needs to know your personal medical history, the condition of the body and the main cause of the pain.
During pregnancy, the possibility of using methods of manual therapy. This allows not only to save a woman from suffering, but also ensures the safety of her health after childbirth
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Why is this happening
With this diagnosis, as the sciatic nerve clamp, the reasons may be as follows:
- disk hernia,
- spasm of the piriformis muscle, which pinches the nerve,
- physical overload
- infections of the pelvic organs,
- metabolic and endocrine disorders.
How is jamming manifested
There are certain signs by which the clamp can be defined:
- There is severe pain with localization in the affected area and irradiation along the sciatic nerve.
- Changes the color of the skin of the lower limb and its temperature.
- The patient takes a forced position in which the pain eases a little.
- Changes the sensitivity in the area of innervation.
- Symptoms of a long and neglected disease are incontinence of urine and feces, atrophy of the muscles of the leg.
How to help
Before treating this disease, you should go through all the necessary examinations.
In the acute period, you should observe bed rest and a few days to minimize the load on the lumbosacral spine. In some cases, the doctor may recommend wearing a corset.
Conservative treatment of sciatica involves taking anti-inflammatory drugs, analgesics or glucocorticoids. All these drugs are aimed at eliminating pain and improving the quality of life of the patient.
When using these funds with topical ointments or gels, pain is relieved much faster. In case of muscle spasm, muscle relaxants of the central action can be used, it is recommended to combine them with NSAIDs.
After the transition to the subacute stage, the nerve clamp continues to be treated using a variety of methods of physiotherapy, classical massage and manual therapy. A good effect is obtained if, immediately after removing the attack, you begin to perform exercise therapy exercises.
The selection of the necessary complex is carried out only by a specialist, taking into account the individual characteristics of each patient.
Other techniques are also used:
Today, any specialist knows how to cure sciatica. Therapy of this pathology should be long and complex. Therefore, if its symptoms occur, it is recommended to consult a doctor and follow all his recommendations.
Currently, doctors prefer to resort to a radical solution to the problem in the form of surgical intervention only in the most extreme case, when all methods of conservative assistance do not help.
Features of treatment during pregnancy
Special attention should be paid to the fact that the sciatic nerve clamp often occurs during pregnancy. The reason for this is the increased load on the lumbar spine.
The fact is that the majority of drugs are not used in this position, since many of them pass the placental barrier and may affect the development of the future baby.
For this reason, treatment during pregnancy should consist only in the use of local rubbing or compresses, as well as performing some exercises, but only under the guidance of a specialist. Usually, there is an improvement after childbirth, as the cause of it is eliminated.
A pinched nerve, or sciatica, is a rather unpleasant condition. He may not for some time deprive a person of the opportunity to lead a normal life. But what to do with this disease is now becoming clear.
The main thing - it does not start the process in order to avoid the development of complications that will lead to the need for surgical intervention.
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Denial of responsibility
The information in the articles is intended solely for general information and should not be used for self-diagnosis of health problems or for medical purposes. This article is not a substitute for medical advice from a doctor (neurologist, therapist). Please consult your doctor first to know exactly the cause of your health problem.